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Latest Version: 6.0 Question: 1 An obese 70-year-old man with a history of atrial fibrillation is recovering from open-heart surgery for aortic valve replacement. To decrease the risk of developing postoperative atrial fibrillation, which of the following medications is most commonly administered for prophylaxis? A. metoprolol or atenolol B. amiodarone C. sotalol D. magnesium sulfate Answer: B Question: 2 During a CABG procedure using a cardiopulmonary bypass machine, at which temperature is the body kept? A. 86-89.6 °F B. 84-86 °F C. 80-84°F D. the body is kept as close to 98.6 °F (normal body temperature) as possible Answer: B Question: 3 Which of the following conditions is most likely to put patients at risk for developing a postoperative embolic stroke? A. ascending aortic manipulation B. ventricular fibrillation C. coronary artery atherosclerosis D. renal disease Answer: A Visit us athttps://www.certsgrade.com/pdf/aacn-csc-adult/
Question: 4 A patient with chronic atrial fibrillation is asking whether there is any type of heart surgery that could fix his irregular rhythm. The most appropriate answer is A. no, there is nothing surgical that can be done and it must be controlled with medications. B. yes, there is an ablation procedure called a maze procedure that may be helpful. C. yes, open heart surgery to replace a valve in the heart can cure the atrial fibrillation. D. no, he would not be a candidate for any surgery because of the anticoagulation therapy he takes. Answer: B Question: 5 Isoproterenol is indicated for which of the following clinical situations? A. low cardiac output with decreased systemic vascular resistance and mild hypotension B. decreased systemic vascular resistance with hypotension and adequate cardiac output C. right ventricular dysfunction with increased pulmonary vascular resistance D. improvement of donor heart function in brain-dead patients Answer: B Question: 6 The adult patient with an atrial septal defect that has been undetected in childhood is at risk for developing which condition? A. diabetes mellitus B. coronary artery disease C. emphysema D. pulmonary hypertension Answer: D Question: 7 The primary indications for renal replacement therapy for acute renal failure are A. hypovolemia, metabolic alkalosis, and hypokalemia. Visit us athttps://www.certsgrade.com/pdf/aacn-csc-adult/
B. initial signs of oliguria. C. increasing levels of serum creatinine. D. fluid overload, metabolic acidosis, and hyperkalemia. Answer: D Question: 8 Which of the following conditions is the most common cause of a left ventricular aneurysm? A. pulmonary hypertension B. myocardial infarction C. chronic venous insufficiency D. peripheral artery disease Answer: B Question: 9 In which of the following surgical procedures is pulmonary valve stenosis treated by making a midsternal incision and a small hole into the heart through which the surgeon inserts a finger or dilator to repair the valve without direct visualization? A. open commissurotomy B. closed surgical valvuloplasty C. annuloplasty D. leaflet repair Answer: A Question: 10 A patient is scheduled for aortic valve replacement using an artificial valve. He is asking if he needs to take a blood thinner following surgery. The best response is A. no, artificial valves do not require anticoagulation following surgery. B. yes, all valve replacement surgeries, regardless of the type of valve used, require anticoagulation for the rest of your life. C. yes, artificial valves require anticoagulation for the rest of your life. D. yes, but only for the first 6 months following surgery. Visit us athttps://www.certsgrade.com/pdf/aacn-csc-adult/
Answer: C Visit us athttps://www.certsgrade.com/pdf/aacn-csc-adult/
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